Interested in CAP treatment in Bali?

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We would love to have you!

Please fill out the form below so we can register your interest and/or answer your questions. We will get back to you as soon as possible.

Thank you!

Email *

Full Name *

Phone Number *

Preferably your Whatsapp number including landline (+XX)

Have you ever used topical steroids or topical calcineurin inhibitors? *

Yes

I'm not sure

Have you ever had Cold Atmospheric Plasma treatment before? If so, please let us know where. *

When would you ideally like to come to Bali if you wanted to start your treatment?

YYYY

Can you share some details on your skin and / or Topical Steroid Withdrawal journey?

Let us know if you have any questions!

Eligibility

You must have stopped steroid and immunosuppressant usage for at least 2 months prior to CAP treatment. Unfortunately, we are unable to treat patients who are pregnant or have a pacemaker.

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